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Have You Experienced Swelling?

You have probably experienced swelling at one point or another, but what is swelling really?

There are so many definitions of “swelling”.  In its simplest form, the term “swelling” is used to describe the response your tissue exhibits when it is injured, irritated or under undue and abnormal levels of stress. For example your body can experience swelling of basically three types:

  1. Swelling related to an injury: This would be the equivalent of twisting your ankle and then it is swollen for a while afterwards.
  2. Swelling related to irritation: This could be a muscle that is swollen because it is irritated or overworked.  It could also be an organ, lets say your liver that is overworked or irritated because of some bacteria.  Swelling that collects in your legs and feet due to poor circulation or a blood pressure problem is really the result of irritation to your heart and circulatory system not working properly and thus, not circulating the fluid in your body appropriately.
  3. Swelling related to abnormal stress: Think of this as being swelling that occurs because of overuse. An example of this would be lifting a box that’s too heavy for you causing some swelling in your back or leg muscles.  Painting a room in your house could cause some swelling in your elbow or other parts of your arm.

True of False: All swelling is always observable and easily seen? THIS IS FALSE! In most cases most swelling is not seen.  Yes, you will see puffiness or an enlarged area when it has been injured but most typically swelling is not visible. It is hidden inside the injured or irritated muscle or joint; it is collected in empty spaces in and around the area. True, when you sprain your ankle or fall and twist your wrist, you will see observable swelling but it is not common to see swelling in all of the other cases where swelling is present.  

So why does it occur?  

Swelling is the collection of fluid, think of it as water, in and around the tissue that has been injured, irritated or overworked. Your body has a certain amount of fluid that carries chemicals and enzymes in it that at times can fight off infection, bring nutrients and other things needed to facilitate healing, and more. This fluid is circulating throughout your body on a regular basis. When the self-protective mechanisms in your body perceive that something is wrong in the area (whether something truly is wrong or not), it will deliver a high dose of this fluid to the area. This rush of fluid to the area is what is really termed swelling.  

There are many times where swelling is good. For example, this of when you twist your ankle after stepping off the curb incorrectly. The injury is perceived as a non-optimal event and the body will quickly deliver a lot of fluid to that area. In this case, the fluid is delivered to that ankle to do a number of things: provide increased support to the area and bring nutrients like oxygen and other things necessary to begin a healing process. In short, when an area is swollen, it will feel tight, sore, weak and experience varying levels of pain. This is good for the initial stages of whatever is causing the swelling because it acts as a warning sign to us that something is not optimal.  

But it’s important to remember that swelling is only good for a few things and for a very short period of time.

Two types of swelling:

Acute: By definition ‘acute’ means it just happened. Acute swelling is swelling that just started in the past 12 hours or so. This was the body’s response to something and therefore the body performed its initial response. The acute swelling will cause some discomfort, tightness, etc.  BUT THIS SHOULD ONLY LAST UP TO 12 HOURS. A perfect example of this is when your muscles are sore the next day after doing anything like running, gardening, shoveling snow, etc. This standard soreness or even pain is due to a “swelling” of the muscles that you overworked or overused, potentially irritated and even injured. BUT THIS SWELLING SHOULD BE GONE 12 – 24 HOURS LATER.

Chronic: Chronic means it is lasting longer than it should or reoccurring. Chronic swelling would be the swelling that occurred in the example above but was still present either to some degree or all of it 12 – 24 hours later. The injury, irritation, overuse was so great that the tissue could not get itself back in working order and thus the swelling stayed there. This is when swelling becomes a problem

When should I worry about swelling:

  1. If you can visibly see any swelling then there is a problem.  This swelling will not go away in 12 – 24 hours. The significant amount of fluid that is there will definitely prohibit the body from starting its healing process
  2. If you have had pain, soreness, stiffness in any part of your body for more than 24 hours the swelling is now chronic and needs expert attention.
  3. If you have had recurring bouts of pain, soreness, stiffness this is chronic inflammation at work and showing that the body is not healing itself on its own.

By Mike Bills, MS PT

So how do you get rid of swelling? There is no one specific way to get rid of swelling. Yes, sometimes it involves ice or heat, but the answer is never cut and dry. The answer to this question comes about by first knowing what happened or is happening in the area. This is determined by a thorough evaluation of the region.

A skilled physical therapist can feel an area, move the area, manipulate tissue, etc. and determine what the actual cause of the problem is and why that swelling is there. Call our office TODAY at 703-450-4300 and have a therapist at Loudoun Sports Therapy Center get you started on a course of action to address the swelling and the symptoms it is causing you. 

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